HealthCare Administrative Solutions
ICD-10 Provider Preparedness Survey Results
© HCAS November 2011
Introduction
To help providers meet the ICD-10 compliance date of October 1, 2013, Massachusetts health
plans and MassHealth conducted an online ICD-10 provider progress survey. The results provide a
baseline for statewide compliance efforts underway in the provider community and will be used by
health care organizations to develop education strategies, training materials and identify resources
to aide providers in their ICD-10 preparations.
To avoid duplicate survey requests from various health care organizations, HealthCare
Administrative Solutions (HCAS) administered this survey on behalf of the following organizations:
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Blue Cross Blue Shield of Massachusetts
Boston Medical Center HealthNet Plan
Fallon Community Health Plan
Harvard Pilgrim Health Care
Health New England
MassHealth
Neighborhood Health Plan
Network Health
Tufts Health Plan
HCAS would like to acknowledge the Massachusetts Health Data Consortium that coordinates a
statewide ICD-10 forum and worked with health plans and MassHealth to develop the survey
questionnaire.
HCAS would like to thank the organizations involved in this outreach effort including individual
health plans, the Massachusetts Medical Society, the Massachusetts Hospital Association, the
Massachusetts Group Management Association, the Massachusetts Association of Patient
Account Managers and the Massachusetts Association of Health Plans.
-A-
Executive Summary
The survey was issued to the Massachusetts provider community and consisted of a series of
questions designed to assess ICD-10 planning and preparations underway within the provider
community. The survey response period was three weeks in duration and various communication
methods were utilized in the outreach effort to encourage participation. This included statewide
newsletters, e-mail, and other means available prior to and during the survey period.
Results include the following:
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Total survey responses: 775
A majority of survey responses were received from the following: Physician Offices (52%)
and Allied/Other health care providers (30%)
Fifty-four hospital responses were received (7%)
Thirty-seven percent of respondents started the ICD-10 planning process and of those
responses, 67% had completed less than 25% of planning work to date
Twenty-eight percent of providers have dedicated resources for ICD-10 compliance and
implementation efforts
Ninety-three percent of providers indicated that they were somewhat or very likely to
submit ICD-10 compliant transactions by October 1, 2013
Responses to each of the individual survey questions are included on the following ten pages of
this report.
For additional information about HealthCare Administrative Solutions (HCAS) and administrative
simplification projects please visit www.hcasma.org.
HealthCare Administrative Solutions, Inc. (HCAS) is a non-profit entity founded by several Massachusetts
health plans to collaborate on administrative simplification initiatives. Participating organizations include
Blue Cross Blue Shield of Massachusetts, Boston Medical Center HealthNet Plan, Fallon Community
Health Plan, Harvard Pilgrim Health Care, Health New England, Medical Network, Neighborhood Health
Plan, Network Health and Tufts Health Plan.
-B-
HCAS ICD-10 Provider Readiness Survey
1. What type of organization do you represent?
Response
Response
Percent
Count
Hospital
7.1%
54
Physician Office
52.2%
399
Mental Health Facility
3.7%
28
Ambulance Service
1.4%
11
Clinic/Health Center
5.8%
44
Other
29.9%
229
(please specify)
1 of 10
275
answered question
765
skipped question
13
2. Please choose the category that best describes the departmental unit you work in at
your organization.
Response
Response
Percent
Count
Medical Office
31.6%
236
Billing/Patient Accounts
34.8%
260
Medical Records/Coding
5.5%
41
Information Technology
2.3%
17
Admissions
0.4%
3
Case Management
0.9%
7
Other
24.5%
183
(please specify)
214
answered question
747
skipped question
31
3. Does your organization currently use ICD codes and/or descriptions?
Response
Response
Percent
Count
Yes: ICD codes only
25.9%
199
Yes: ICD descriptions only
0.4%
3
62.5%
480
No
8.1%
62
Do not know
3.1%
24
answered question
768
skipped question
10
Yes: Both ICD codes and
descriptions
2 of 10
4. If you responded yes to question 3, when selecting ICD codes or descriptions, what
resources do you currently use? Check all that apply.
Response
Response
Percent
Count
Vendor software
50.8%
348
Coding books
78.7%
539
On-line resources
40.9%
280
Other
6.1%
42
(please specify)
55
answered question
685
skipped question
93
Response
Response
Percent
Count
5. In general, how familiar is your organization with ICD-10?
Not at all familiar
37.5%
285
Somewhat familiar
49.9%
380
Very familiar
12.6%
96
answered question
761
skipped question
17
3 of 10
6. What, if any, of the following resources is your organization likely to use to learn more
about ICD-10? Check all that apply.
Response
Response
Percent
Count
External web sites
50.5%
385
CMS web site
52.2%
398
Health plan or vendor web site
47.6%
363
Internal training
30.4%
232
Consulting services
12.5%
95
Do not know
21.0%
160
Do not intend to use any resources
1.7%
13
Other
11.1%
85
(please specify)
4 of 10
105
answered question
763
skipped question
15
7. When do you anticipate starting your organization's education on ICD-10?
Response
Response
Percent
Count
Already started
17.9%
126
Q4 2011 (Oct-Dec 2011)
11.7%
82
Q1 2012 (Jan-Mar 2012)
27.5%
193
Q2 2012 (Apr-Jun 2012)
9.8%
69
Q3 2012 (Jul-Sep 2012)
7.1%
50
Q4 2012 (Oct-Dec 2012)
5.4%
38
Q1 2013 (Jan-Mar 2013)
5.5%
39
Q2 2013 (Apr-Jun 2013)
3.0%
21
Q3 2013 (Jul-Sep 2013)
4.1%
29
8.0%
56
answered question
703
skipped question
75
Response
Response
Percent
Count
We do not anticipate providing
education on this topic. We do not
use ICD codes or descriptions.
8. Has your organization begun ICD-10 planning?
Yes
36.6%
274
No
63.4%
475
answered question
749
skipped question
29
5 of 10
9. If you answered YES to question 8, please estimate how much of the planning process
your organization has completed.
Response
Response
Percent
Count
0-25%
67.0%
199
25-50%
21.2%
63
50-75%
7.7%
23
75-100%
4.0%
12
answered question
297
skipped question
481
10. If your organization does not have a plan, when do you anticipate starting your ICD-10
planning?
Response
Response
Percent
Count
Q4 2011 (Oct-Dec 2011)
13.8%
74
Q1 2012 (Jan-Mar 2012)
27.7%
148
Q2 2012 (Apr-Jun 2012)
7.3%
39
Q3 2012 (Jul-Sep 2012)
4.1%
22
Q4 2012 (Oct-Dec 2012)
3.2%
17
Later than December, 2012
3.6%
19
Do not know
35.1%
188
5.2%
28
answered question
535
skipped question
243
This organization does not plan to
engage in ICD-10 planning. We do
not use ICD codes or descriptions.
6 of 10
11. Does your organization have dedicated resources to facilitate your ICD-10 compliance
and implementation?
Response
Response
Percent
Count
Yes
28.4%
213
No
44.8%
336
Do not know
26.7%
200
answered question
750
skipped question
28
12. What, if any, resources does your organization need from health plans or vendors to
assist in your ICD-10 planning?
Response
Count
310
answered question
310
skipped question
468
13. How likely is your organization to be ready to submit ICD-10 transactions by 10/1/2013?
Response
Response
Percent
Count
Not at all likely
7.4%
55
Somewhat likely
29.4%
218
Very likely
63.2%
468
answered question
741
skipped question
37
7 of 10
14. If your organization will not be ready to submit ICD-10 transactions by 10/1/2013, have
you developed a contingency plan?
Response
Response
Percent
Count
Yes
6.8%
31
No
58.2%
267
Do not know
35.1%
161
answered question
459
skipped question
319
15. Please indicate the barriers that your organization faces in its ICD-10 planning and
implementation work? Check all that apply.
Response
Response
Percent
Count
Significant business impact
26.7%
173
Significant IT impact
30.4%
197
Staffing and training capacity
52.9%
342
Competing priorities
32.9%
213
Lack of knowledge
50.5%
327
Lack of funding
21.9%
142
Vendor/trading partner readiness
29.5%
191
Lack of executive sponsorship
4.5%
29
Other
7.7%
50
(please specify)
8 of 10
57
answered question
647
skipped question
131
16. What will your organization's ICD-10 readiness plan include? Check all that apply.
Response
Response
Percent
Count
Vendor upgrade
32.6%
237
Software upgrade
53.6%
390
Provider training
52.7%
384
Coder training
50.4%
367
55.6%
405
Documentation
33.7%
245
Do not know
16.3%
119
Do not have a plan at this time
16.6%
121
Other
1.5%
11
Code translation: ICD-9 to ICD10
(please specify)
18
answered question
728
skipped question
50
17. Please provide any additional comments regarding ICD-10.
Response
Count
95
9 of 10
answered question
95
skipped question
683
18. Please provide the zip code of your organization. If you have more than one location,
please include the zip code of your main office location.
Response
Count
712
10 of 10
answered question
712
skipped question
66